Digital Commons Network^™

Patient Activation, Depressive Symptoms, And Self-Rated Health: Care Management Intervention Effects Among High-Need, Medically Complex Adults, Cynthia F. Corbett Phd, Rn, Faan, Kenn B. Daratha, Sterling Mcpherson, Crystal L. Smith, Michael S. Wiser, Brenda K. Vogrig, Sean M. Murphy, Roy Cantu, Dennis G. Dyck

Publications

The purpose of this randomized controlled trial (n = 268) at a Federally Qualified Health Center was to evaluate the outcomes of a care management intervention versus an attention control telephone intervention on changes in patient activation, depressive symptoms and self-rated health among a population of high-need, medically complex adults. Both groups had similar, statistically significant improvements in patient activation and self-rated health. Both groups had significant reductions in depressive symptoms over time; however, the group who received the care management intervention had greater reductions in depressive symptoms. Participants in both study groups who had more depressive symptoms had lower …

The Disproportionate Impact Of Covid-19 On Women, Ava Stallone

Honors Scholar Theses

The impact of COVID-19 is placing a large strain on women. This can be seen through reports of mental health and financial concerns. Women are more vulnerable to COVID-19 related economic effects due to existing gender inequalities, which in turn may also have a negative effect on mental health. Through this study gender disproportion is looked at between mental health and COVID-19 financial concerns among women and men. The aim is to asses how COVID-19 financial concerns may be contributing to stress, anxiety, and depression. It is hypothesized that; women will report worse mental health and greater economic concerns than …

Gaming Disorder And Well-Being Among Emirati College Women, Marina Verlinden, Justin Thomas, Mahra Hasan Abdulla Ahamed Almansoori, Shamil Wanigaratne

All Works

Background: The present study examined Internet Gaming Disorder (IGD) and depressive symptom levels among a predominantly female sample of college students from the United Arab Emirates (UAE). Methods: IGD was assessed among two successive cohorts of students at the beginning of the academic year in 2016 and 2019, respectively. All participants (n = 412) completed the Internet Gaming Disorder Scale – Short-Form (IGDS9-SF) and the WHO-5 Well-being Index (WHO-5), a tool widely used for the screening and assessment of depressive symptomatology. Results: Mean IGDS9-SF scores (15.85, SD = 6.40) were fairly similar to those observed in other nations. The prevalence …

Music As A Gateway To Healing Speech Disorders And Mental Health Holistically In The Patient With Aphasia: A Literature Review, Susan Warren

Expressive Therapies Capstone Theses

People with some types of post-stroke aphasia often experience depression as well as loss of speech. Music therapy has unique properties that allow it to be used therapeutically to treat both speech impairment and depression yet it is rarely used to treat both disorders. This literature review seeks to examine the underlying causes for this discrepancy, review methods used by practitioners to treat both disorders and suggest future directions for additional research and implications for the treatment of patients with aphasia who have both language impairment and depression.

The Implementation Of Mindfulness And Dance/Movement Therapy For Women With Postpartum Depression: A Literature Review, Angel Nga Ying Chan

Expressive Therapies Capstone Theses

This literature review discusses the impact and effectiveness of using mindfulness-based interventions and a dance/movement therapy approach on mothers with postpartum depression (PPD) to promote their holistic well-being. The experience of giving birth and the transition to motherhood can be rewarding and remarkable, yet challenging and overwhelming. It is widely suggested if a mother who suffers from postpartum depression is left untreated and unattended, the ongoing depression and emotional distress can have negative impacts on their child’s well-being and development. The practice of mindfulness with women with PPD is suggested to be significant in reducing depression and improving psychological well-being …

Mindfulness-Based Interventions For Prenatal Stress, Anxiety, And Depression, Fiona Kate Rice

Expressive Therapies Capstone Theses

Pregnant people in the United States (US) face myriad barriers to resource accessibility when seeking support, including financial gatekeeping, discrimination, and cis-gendering of the process. Commodification of prenatal support is exhaustive and contributes to a growing exclusivity of traditionally accessible interventions designed to reduce stress, anxiety, and depression, and to promote positive fetal outcomes and parent-child bond. Mindfulness-based interventions are particularly appropriate for reducing stress, anxiety, and depression in pregnancy. Mindfulness-based interventions are intersectional, accessible means of pregnancy and childbirth support with evidence-based outcomes of positive birth experiences and results. Mindfulness is defined as nonjudgmental awareness of the present moment. …

Neuro-Informed Music Therapy For The Treatment Of Anxiety And Depression: A Literature Review, Sarah E. Sullivan

Expressive Therapies Capstone Theses

This capstone thesis project is a literature review of research specifically regarding the neuroscience and neurochemistry of music and how it can inform music therapy treatment of mental health. Mental health is a large, overarching term that includes many disorders that refer to one’s psychological and/or emotional condition(s), which further includes an individual’s social well-being. This can include, but is not limited to, depression, anxiety, schizophrenia, and obsessive-compulsive disorder (OCD). This paper will focus in on a research-based, neuro-informed music therapy treatment of anxiety and depression. The goal of this paper was to provide research toward a future method in …

The Benefits Of Clay For Adolescents In The Inpatient Setting: Development Of A Method, Lauren Sideravage

Expressive Therapies Capstone Theses

Adolescence is a period of time where there is continuous change in one’s social, emotional, and physical development. In severe situations, these changes could contribute to two of the most common mental disorders in teens, one being mood disorders and the other being anxiety disorders. Arts based interventions were administered to measure and test if using clay through touch and movement could reduce anxiety and stress for adolescents in a psychiatric inpatient setting, leading to greater mental well-being and increased stabilization. Patients participated in a three-part group that focused on different clay techniques, including rolling, flattening, and free choice. Color …

The Effect Of Depression, Anxiety, And Stress On Heart Rate Variability During Self-Critical And Self-Compassionate Exercises, Derek C. Bartlett

Theses and Dissertations

The cognitions of individuals who experience symptoms of depression, anxiety, and stress have been well documented, but their physiological reactions have not. The present study examines the physiological reactions of individuals with elevated levels of depression, anxiety, and stress during a self-critical and self-compassionate writing exercise to see if there is a difference in comparison to healthy participants. This study is a secondary analysis of data that was collected from a randomized controlled trial where participants followed a protocol. This protocol consisted of a 5-minute baseline, a 10-minute breathing exercise or nature video, 5-minutes of a self-critical writing exercise, 5-minutes …

Development Of Physiological Markers For Tetrabenazine-Induced Motivational Dysfunctions Using Electroencephalography In Male And Female Rats, Stephanie Akosa

Honors Scholar Theses

Depression is a mental illness that is increasingly rampant in our society. With its prevalence, various drugs have become commonplace for treatment. Many of these drugs are serotonin reuptake inhibitors, or SSRIs. These drugs are able to mitigate symptoms of depression such as rumination and anxiety. However, they are not very successful in treating the amotivation and anergia that are seen in these patients. In order to investigate which drugs will be the most successful in treating the symptoms of depression, it is important to develop an animal model that can accurately represent the motivational symptoms of depression in humans. …

Making The Case For Psychedelics: Comparing Alternative Treatment Options For Depression, Nicole Amavisca

Undergraduate Honors Theses

Given the number of people who are treated for depression each year and the knowledge that treatments work differently for everyone, there is a pressing need to provide a variety of treatment options. Although psychedelic research had been halted for a few decades due to recreational abuse, there has been revived interest due to its therapeutic potential in the treatment of mood disorders and addiction. As an example, the hallucinogen ketamine has recently been approved as a treatment for depression, which has opened the door for broadening the discussion on psychedelic research. Although the research is limited, psilocybin mimics ketamine …

Vegetarian Diets, Maybe Not As Healthy As You Think, Darryl Goh, Debbie Chan, Merson Hoo, Ian Wong

Introduction to Research Methods RSCH 202

Many are approaching vegetarianism as a viable diet option in recent years, presuming that adopting a vegetarian diet would provide health benefits. This paper explores the possibilities of physical and mental effects that vegetarianism may have on humans and its extent by the use of regression analysis. To measure the possible impacts vegetarian diets may hold on both the physiology and physical aspects of humans, we have utilized the measures of life expectancy and prevalence of depression respectively. Cross-sectional data were examined from sources such as the World Health Organization, Our World In Data and the World Bank, with figures …

Fearful Versus Dismissive Beliefs About Emotion: Divergent Pathways To Non-Acceptance Of Emotion, Natasha Haradhvala Bailen

Arts & Sciences Graduate Student Theses and Dissertations

High non-acceptance of emotion, or the rejection of one’s own emotional experience as bad or unacceptable, is consistently associated with depressive pathology, including elevated depressive symptoms and past and current major depressive (MDD) diagnoses. To progress toward a fuller understanding of non-acceptance and depressive pathology, it is important to identify other associated constructs that could theoretically contribute to this association. Indirect evidence suggests that negative beliefs about emotion—that is, stable underlying negative beliefs about the meaning, value, or consequences of one’s emotions—could be one such factor, as could negative emotion intensity and emotional clarity (or the degree to which one …

Inflammation, Diet, And Depression, Kareem F. Hamada

College Honors Program

Although it is well established that inflammation contributes to cardiovascular disease (CVD), this thesis considers the potential for dietary-induced inflammation to also play a role in the development of depression. Even though the association between inflammation and depression was initially proposed over 100 years ago, treatment of depression has focused on psychopharmacological and psychotherapy. In addition to the increases in the chronic diseases that are the leading causes of death, including CVD, diabetes, and several forms of cancer, consumption of meat, dairy, and highly processed foods have also increased dramatically in recent decades. The resulting Standard American Diet (S.A.D.) is …

Racial Microaggressions And Mental Health: Internalized Racism As A Mediator And Black Identity And Social Support As Moderators, Steven M. Sanders

ETD Archive

Internalized racism, also referred to as appropriated racial oppression, refers to the phenomenon of people of color adopting negative racist messages about their worth and abilities. The internalization of racism by members of the targeted group results in an experience of self-degradation and self-alienation and the assumption of one’s inferiority, which is directly related to issues of self-esteem, self-confidence, shame, depression, and anxiety. This study used structural regression with moderation and mediation to explore the possibility of internalized racism as a mediating variable and black identity and perceived social support as possible moderators. A sample of 639 participants (MAge = …

Social Media Use, Connectedness, And Depression In Graduate Students, Marisa Gretz, Stephen R. Poteau, Robert A. Ditomasso, Michael B. Roberts

Research Day

This study will examine the relationship between social media use, sense of connectedness, and depression among graduate students. Graduate students are often disconnected from their social supports due to their program's demands; additionally, the risk of depression in this population has been established in the literature. The impact of social media on depression has been investigated, and the results are discrepant. The relationship between a sense of connection, the use of social media, and depression in a graduate student population has not yet been explored. Graduate students at The Philadelphia College of Osteopathic Medicine (PCOM) and other universities studying psychology, …

The Association Between Trauma History And Body Image, Depression, Posttraumatic Stress, And Relationship Satisfaction In Postpartum Women, Kristen Hawk-Purcell, Michelle R. Lent

Research Day

The postpartum period can be a time of significant change and transition. Little is known regarding how a history of trauma may impact functioning during this critical time. The literature is consistent regarding the relationship between trauma and body image-related issues, but this has not been investigated with this population. While posttraumatic stress symptoms are considered a significant public health concern, the association between depression and interpersonal concerns has not been thoroughly explored. The purpose of this observational, cross-sectional study is to explore the relationship between trauma and body image, mood, and relationship satisfaction in postpartum women.

Proposed Methods: English …

The Effect Of Implementing A Generalized Anxiety Disorder Protocol For Anxiety And Depression Symptoms In The Primary Care Setting, Bailey J. Hinman

Evidence-Based Practice Project Reports

Generalized anxiety disorder (GAD) is very prevalent in the United States with 5.7% of citizens affected (National Institute of Mental Health [NIMH], 2017). This number is expected to be even higher because individuals avoid care due to stigma of mental illness (Andrews et al., 2018). GAD can have significant implications such as decreased ability to function, decreased quality of life and increased risk of suicide (Fong, 2018; Lizarondo, 2018). The purpose of this project was to improve outcomes for adult patients with GAD in the primary care setting by improving treatment to follow best practice recommendations. The Johns Hopkins Evidence …

Breaking The Cognitive Spell: Cognitive Fusion Mediates The Relation Of Cognitive Anxiety Sensitivity And Rumination In Undergraduate College Students, Jacey L. Anderberg

Honors Thesis

Rumination (i.e., intrusive and repetitive self-directed thinking) predicts the onset, severity, and maintenance of depression (Galecki & Talarowska, 2017). Ruminative behavior is positively associated with cognitive anxiety sensitivity (i.e., fear of losing internal control; CAS), which may be attributed to cognitive vulnerabilities of depression. However, researchers have not clarified the link between these variables, and mechanisms responsible for change in CAS following treatment are unclear (Tull & Gratz, 2008). Accordingly, clarification of intermediate factors that may be targeted in psychosocial interventions appears warranted. Cognitive fusion (i.e., engaging with thoughts as true reflections of reality rather than products of thinking; CF) …

Examining Rumination, Devaluation Of Positivity, And Depressive Symptoms Via Community‐Based Network Analysis, Duncan Jordan

Faculty & Staff Research and Creative Activity

Objective: Components of rumination, including brooding and reflection, as well as devaluating prospective positivity, may help maintain depressive symptoms. We examined these components together for the first time using network analysis. Methods: We examined the robustness of rumination communities of closely related items in one network and then examined the interrelationships between rumination communities, devaluation of positivity, and depression, in a second network. Results: Three rumination communities emerged, replicating findings of Bernstein et al. (2019). Within a dense network, nodes representing brooding, reflective pondering, and difficulty trusting positive feelings were most influential. In addition, the node representing the depressive symptom …

What Is Depression?, Megan Wade

Theses

“What is Depression?” is a book design that investigates how simple graphical forms can be used to communicate a complex idea. It explores the principles and elements of design and how they can be abstracted to illustrate emotions, and it experiments with pushing the boundaries of what educational book pages can look like. Education regarding complicated subject matters such as depression are frequently overlooked or misunderstood within our society. People who are not affected by depression have a difficult time understanding what it feels like to suffer with the symptoms and emotions of the disease. This thesis investigates how to …

Improving Depression Awareness And Screening In A Community College, Shelly Baldwin

Doctor of Nursing Practice Projects

Depression is a serious and disabling mental health problem impacting nearly 265 million people worldwide. Approximately 17.3 million U.S. adults aged 18 or older suffered at least one major depressive episode in the last year. Of those afflicted, individuals 18-25 years of age had the highest prevalence of depression. Undiagnosed or untreated depression can lead to long-term disability or suicide which is the 2^nd leading cause of death for 10–34-year-old persons. Early recognition of depressive symptoms can improve long-term outcomes of individuals by enhanced connection to mental health services. The overall goal of this project was to improve depression …

Implementation Of A Mental Health Screening In A Gastroenterology Office, Kayla Craig

Doctor of Nursing Practice Projects

The growing prevalence of depression in gastrointestinal patients is the reason why outpatient offices, gastrointestinal offices included, need to screen for mental health problems in their appointments. Many outpatient settings don't have a standard tool to screen for depression in patients, and therefore many patients are not being treated or diagnosed with depression in the process. The PHQ-9 has been shown to have strong validity and specificity in diagnosing depression in the outpatient setting.

The Prevalence Of Postpartum Depression In Black And Hispanic Women In New Jersey, Courtney Chineme, Rachel Shmuts, Chris Canlas

Rowan-Virtua Research Day

Postpartum depression (PPD) is defined as symptoms of major depressive disorder (MDD) within one month of giving birth with the prevalence in the United States being 10-15%. There are well documented instances of racial differences and their effects on maternal outcomes including infant, maternal mortality and postpartum mood disorders. In New Jersey, there are monitoring systems that explore the relationships between maternal characteristics such as race, age, education level, insurance status, and racial bias and how they may correlate with higher incidences of Postpartum Depression (PPD) in these communities of women. The purpose of this comparative study is to analyze …

The Role Of Primary Care Physicians In Post-Partum Depression (Ppd), Elizabeth Bowman

Rowan-Virtua Research Day

Background

• Symptoms of depression lasting longer than 2 weeks following birth
• 10-15% of new mothers affected yet 50% of cases go undiagnosed
• Long-lasting consequences for the mother, baby, and father
• Multi-factorial condition

Conclusion

• Primary care providers are the first-line defense against PPD
• Many providers are resistant to PPD screenings
• Interventions from primary care providers are effective

Stage Of Estrous Cycle Influences Behavior After Social Stress, Alexander Jonah Rodriguez

Honors Thesis

Since women are almost twice as likely to develop major depression compared to men, research into this and other potentially debilitating mood disorders using behavioral studies should involve females despite hormonal, physiological, and potential behavior changes due to reproductive cyclicity. Until recently, most studies exclusively used males, thus limiting results of previous research to half of the population. Using adult female C57BL/6N mice as model organisms, we exposed them to novel forms of social stress across five days which encompassed the four-day estrous cycle to determine if the stages of the estrous cycle had an impact on behavior when they …

Perceived Stress May Mediate The Relationship Between Antenatal Depressive Symptoms And Preterm Birth: A Pilot Observational Cohort Study, Sharifa Bashir Lalani, Aliyah Dosani, Ntonghanwah Forcheh, Shahirose Sadrudin Premji, Sana Siddiqui, Kiran Shaikh, Ayesha Mian, Ilona S Yim Ilona S Yim, Maternal-Infant Global Health Team (Might) Collaborators In Research

School of Nursing & Midwifery

Background: Screening for changes in pregnancy-related anxiety and depressive symptoms during pregnancy may further our understanding of the relationship between these two variables and preterm birth.
Objectives: To determine whether changes in pregnancy-related anxiety and depressive symptoms during pregnancy influence the risk of preterm birth among Pakistani women; explore whether perceived stress moderates or mediates this relationship, and examine the relationship between the various components of pregnancy-related anxiety and preterm birth.
Methods: A prospective cohort study design was used to recruit a diverse sample of 300 low-risk pregnant women from four centers of Aga Khan Hospital for Women and Children …

Perfectionism And Internalizing Disorders As Predictors Of Career Indecision Among College Students, Paige Jones

Honors Theses

Perfectionism has been found to be a significant predictor of career indecision in adults. Perfectionism has also been linked with internalizing disorders, such as depression, anxiety, and obsessive-compulsive disorder in children. The primary aim of this study is to determine if there is a relationship between those internalizing emotions experienced in childhood and career indecision as an adult. There have not been many studies for career indecision based on emotions directly from one’s childhood, so this study aims to provide some basic understanding on that relationship. This study investigated if perfectionism and internalizing disorders (measured retroactively) during childhood were correlated …

Psychological Distress And Susceptibility To Disease In The Infant And Early Childhood Mental Health (Iecmh) Workforce In The Time Of The Covid-19 Pandemic, Ashley Sexton

Undergraduate Honors Theses

Chronic stress, anxiety, and depression can have many adverse effects on physical health, including immunosuppression and increased susceptibility to disease. For the last year, the world has endured sustained stress caused by the COVID-19 pandemic which has had its own impact on mental health. Stress from COVID-19 will likely have an even greater impact on the Infant and Early Childhood Mental Health (IECMH) workforce due to the stressful nature of their work. Self-care has been shown to improve overall wellbeing and act as a buffer for stress. Therefore, the current study aims to investigate if IECMH workers with clinically significant …

Child Maltreatment And Neglect In The United Arab Emirates And Relationship With Low Self-Esteem And Symptoms Of Depression, Syed M. Shah, Gul Nowshad, Fatima Al Dhaheri, Mariam H. Al-Shamsi, Alfan M. Al-Ketbi, Alaa Galadari, Priyam Joshi, Heba Bendak, Michal Grivna, Danilo Arnone

Department of Family Medicine

Objectives: To our knowledge, this study is the first in the United Arab Emirates (UAE) to investigate the prevalence of child maltreatment in relation to depressive symptoms and self-esteem.
Study design: Exposure to physical maltreatment, emotional abuse and neglect was evaluated in 518 adolescents (86% response rate) randomly selected from schools in Al Ain in the Emirate of Abu Dhabi. The Rosenberg self-esteem scale and the Beck Depression Inventory were used to measure self-esteem and depressive symptoms by using multivariate logistic regression analyses.
Results: The mean age of study participants was 14.3 years. Emotional abuse was the most frequent form …